Welcome to the ePoster Viewing Panel of AICOG 2025

Introduction Ectopic pregnancy is the leading cause of mortality in early pregnancy. The incidence of ectopic pregnancy is estimated to be between 1 and 2%. The majority of these pregnancies are located in the fallopian tube. However, pregnancies also occur implanted in the cervix, ovary, previous caesarean scar, and abdomen1. The diagnosis and treatment of these unusual implantation sites present both diagnostic and therapeutic dilemmas. Case Presentation A 28-year-old primigravida, married for 6 months, presented with complaints of acute abdominal pain for 2 days. She had history of irregular menstrual cycles previously. She had menstrual cycle 1 week before but the amount of bleeding was considerably less. Discussion Primary ovarian pregnancy is a rare form of ectopic pregnancy that must be demonstrated with use of the 4 criteria of Spiegelberg3, which are (a) the fallopian tube, including the fimbria ovarica, is intact and clearly separate from the ovary; (b) the gestational sac definitely occupies the normal position of the ovary; (c) the sac is connected to the uterus by the utero-ovarian ligament; (d) the ovarian tissue is unquestionably demonstrated in the wall of the sac. Conclusion This case report underscores the diagnostic and therapeutic challenges associated with ectopic ovarian pregnancies. Early recognition, combined with a multidisciplinary surgical and medical management approach, contributed to a positive outcome. Awareness of this rare condition is crucial for timely intervention and highlights the need for tailored strategies in addressing the unique aspects of ectopic ovarian pregnancies.